Evidence map›Paper›PMID 40056354›Full record

Observational studyJapanese journal of ophthalmology2025

Real-world practice patterns for dry eye diagnosis: a multicenter observational study in Taiwan.

Shu-Wen Chang, Shiuh-Liang Hsu, Chih-Chien Hsu

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Japanese journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shu-Wen ChangFar Eastern Memorial Hospital, New Taipei City, Taiwan. swchang2007@ntu.edu.tw.ORCID http://orcid.org/0000-0001-5323-3922
Shiuh-Liang HsuKaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Chih-Chien HsuTaipei Veterans General Hospital, Taipei City, Taiwan.

Funding

Taiwan Santen Pharmaceutical Co., Ltd. Taiwan Santen Pharmaceutical Co., Ltd.
6 · The paper itself

Abstract

purposeTo investigate the concordance between Asia Dry Eye Society (ADES) diagnostic criteria and real-world hospital-based practice, and to analyze the clinical characteristics of patients with dry eye disease (DED), in Taiwan. STUDY

designNoninterventional, cross-sectional, retrospective clinical study.

methodsData were analyzed for adults with newly diagnosed DED from three tertiary hospitals. The primary endpoint was the proportion of patients diagnosed with DED who fulfilled ADES criteria for DED. Other outcomes were DED classification and severity, tear breakup time (TBUT), Schirmer's test, corneal fluorescein staining (CFS) severity, 12-item Ocular Surface Disease Index (OSDI) questionnaire scores, and presence of meibomian gland dysfunction (MGD).

resultsA total of 213 patients, mean (SD) age 54.3 (15.0) years, 79.8% female, were evaluated. Mean TBUT of 3.0 (2.6) sec and mean OSDI score of 36.5 (21.0) indicated severe DED at diagnosis. Most patients (87.3%) had a TBUT ≤5 sec, fulfilling ADES diagnostic criteria. Short TBUT (≤5 sec) and OSDI ≥13 had high sensitivity for diagnosing DED (87.3% and 90.1%, respectively), whereas an abnormal Schirmer's test (69.5%) and abnormal CFS (42.3%) were less sensitive. MGD was diagnosed in 56.3% of patients. Dry eye-related characteristics in the non-short TBUT (>5 sec) group diverged for objective but not subjective clinical tests. Most common first treatments were artificial tears (95.8%) and corticosteroids (85.0%).

conclusionsDED diagnosis in routine hospital practice in Taiwan is highly concordant (87.3%) with ADES diagnostic criteria. TBUT appears to be an effective diagnostic tool for identifying dry eye in patients across symptom severity, etiology and age.

Indexed as

Diagnostic Techniques, OphthalmologicalDry Eye SyndromesPractice Patterns, Physicians'TearsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexSurveys and QuestionnairesTaiwanAsia Dry Eye Society (ADES) guidelinesCross-sectional studyDry eye diseaseTaiwan

Identifiers

PMID40056354
PMCPMC12125065

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.